Creation bilateral blow hole fistulas under clavicle for emphysema

rmlopez

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What CPT code would be appropriate for this summarized OP note: Longitudinal incisions were made underneath each clavicle down to the level of the fascia.* The fascia overlying the pectoral muscles was incised.* With this procedure, much of the patient's massive subcutaneous emphysema was able to be vented and his breathing, as well as ability to speak greatly improved.* After hemostasis was achieved in both these incisions a wound VAC system was placed and dressings applied.*

Thank you!!

Robin Lopez, CPC
 
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